Solid and proven leader exemplified through growth in revenue, program and policy development, reputation, risk reduction, staff retention, development and productivity. Areas of specialty include operational efficiency, policy and system development, advocacy for those with physical and medical frailties, life care planning, court advocacy. Objective to build relationships based on mutual respect and trust, leading to personal and professional growth.
Director of Case Management @ From September 2015 to Present (4 months) Clinical Manager @ Manage large team of professionals with minimal turn over and solid productivity. Responsible for development and implementation of work process within Medical Management Department and across plan and product lines. Implement, monitor and maintain productivity standards through routine supervision and audit. Develop and maintain solid working relationships with internal and external stakeholders, providers and vendors. Represent company at stakeholder meetings. Developed, implemented and continue to oversee specialty transplant team, managing risk of this high risk, high dollar program. Lead Intellectual/Developmental Disability team of professionals. Member of company's HOPE Program, raising money for local not for profit organizations. From December 2012 to September 2015 (2 years 10 months) Chief Operating Officer @ Direct report to Chief Executive Officer and responsible for all clinical staff and activities inclusive of hire, training, supervision, compliance with licensure and retention. Improve retention rates, client outcomes and morale company-wide, reducing unemployment rates and improving overall job satisfaction. Clinical program development inclusive of implementation timeline, identification of scope of service, target markets, recruitment of staff and marketing strategies. Dramatic reduction of accounts receivables days outstanding through streamlining of billing and collections processes.
Develop lectures and speak to professional audiences about company programs, clinical ethics. Establish, implement and continually update company-wide orientation, continuing education and competency programs increasing expertise of staff and company’s ability to expand service offerings. Reduce company’s risk exposure through development of policies, procedures and systems for high risk activities of each department. Development and implementation electronic medical record and filing system.
Promoted from Lifecare Manager to Team Leader/Senior Lifecare Manager in 2003 as result of clinical and leadership efforts. Promoted to Expert Lifecare Manager/Director of Lifecare in March of 2006. As Lifecare Manager/Senior Lifecare Manager: Developed and implemented individual life care plans and serve as expert witness in such cases. Drafted comprehensive assessments for clients, family systems, attorneys, Trusts, and courts. Maintained stable clinical caseload while reaching and maintaining high level billable percentage and collection quotas. Promoted to COO in May of 2010. From February 2001 to December 2012 (11 years 11 months) Chairman, Programming Committee @ Lead team of professionals from across the country to recruit speakers, review speaker submissions and finalize presentations for the Annual Conference. From 2009 to 2011 (2 years) Social Worker @ Conduct psychosocial assessments of individual and family systems through on site visits. Develop individual treatment plans and interventions. Provide supportive counseling to individuals and families of various cultures, socioeconomic and educational backgrounds. Educate and advise regarding disease processes, family dynamics, community resources and other issues/ services to strengthen individual and family understanding and support systems. Facilitate bereavement support groups
Communicate with interdisciplinary team of nurses, certified nurse's aides, clergy, volunteers, and physicians Supervise company social work staff From June 1997 to February 2001 (3 years 9 months) Patient Service Coordinator @ Perform all customer service duties from client intake, ordering through client closing. Responsible for continuous quality improvement programs and audits. Assisted in development of home care software, trained staff in its use, and drafted instructional manual. From April 1994 to August 1997 (3 years 5 months) AIDS Program Coordinator @ Coordinated intravenous and related high tech home care services with emphasis on HIV population from intake to discharge.
Negotiated with insurance companies, settling per diem rates for intravenous therapies in home and at company run clinics. Served as patient advocate, representing patient concerns. Interacted with interdisciplinary team of nurses, pharmacists, social workers, case managers, and patients of various cultural and socioeconomic backgrounds. Member of HIV Task Force, assisting with marketing and business development specifically related to HIV/AIDs related treatment and service providers. Ran two pentamidine clinics in Chicago land area; provided follow up to assure patient compliance with treatments, satisfaction with services. Provided basic assessment and referral for related services to maintain dignity, independence and integrity of patients in their home settings. From January 1989 to January 1994 (5 years 1 month)
MSW, Social Work @ Jane Addams College of Social Work From 1994 to 1997 B.S., Allied Health; Business Administration @ Northern Illinois University From 1985 to 1989 H.S. Diploma, College Prep @ Dunlap High School From 1982 to 1985 Lori CCM is skilled in: Life Care Planning, Clinical Supervision, Operational Excellence, Vulnerability Assessment, Elder Care, Testimony, Planning, Chronic Illness, Healthcare, Courts, Home Care, Hospitals, Health, Litigation, Dementia Care